Which of the following statements made by the nurse displays a positive attitude about
client autonomy and self-determination?
1. “I comfortable with clients deciding what the programs, schedule, activities, or rules
will be.”
2. “Clients should not be permitted to decide their own treatment goals.”
3. “Clients should not be permitted to comment on each other’s behaviors or treatment
goals while in group.”
4. “I am sad when a client does not choose my plan of care.”
Answer:
A client who presents in the psychiatric unit tells the admitting nurse that she is very
depressed and is having a hard time staying clean and sober. Which of the following is
true regarding mental illness in a client with identified substance abuse?
1. Depression or other mental illnesses should be treated only after the client has been
sober for one month.
2. Depression or other mental illness is an expected outcome of substance abuse
recovery.
3. Depression or other untreated mental illness can contribute to relapse.
4. Depression or other mental illnesses are symptoms of the substance abuse.
Answer:
Which of the following interventions is not an appropriate strategy for the family
therapist?
1. Openly disagree with one another when appropriate
2. Showing that anger and pain are not safe emotions to examine
3. Delineating family roles and functions
4. Openly discuss problems with one another
Answer:
Which of the following behaviors would a male client who is experiencing an adaptive
sexual response most likely exhibit?
1. Removing shoes from women in subways
2. Gentle touching of thighs when passing people in a line
3. Display of genitals to strangers
4. Dressing in women’s clothes
Answer:
The nurse is establishing a therapeutic alliance with a new client. Which of the
following behaviors would enhance the development of a therapeutic one-to-one
relationship?
1. Specifically defining emotional and social goals for the client
2. Eagerly encouraging the client to communicate on a superficial level
3. Instinctively sharing personal experiences with the client
4. Spontaneously assisting the client to identify thoughts and feelings
Answer:
A client exhibiting which of the following antipsychotic side effects would require the
nurse’s immediate intervention?
1. Neuroleptic malignant syndrome
2. Drowsiness
3. Parkinsonism
4. Impotence
Answer:
The nurse who applies a conceptual framework that integrates the biologic and social
sciences with the physical sciences in assessing clients is using:
1. Erickson’s eight stages of development.
2. The medical model.
3. Social interactionism.
4. General systems theory.
Answer:
The nurse would teach the adolescent with a conversion disorder what the person “gets”
from having the disorder. This explanation would include a discussion of:
1. Preoccupation with the belief that the person has a serious disease without physical
evidence.
2. Primary and secondary gains.
3. An overreaction by caregivers to the client’s somatic complaints.
4. A pain cure.
Answer:
A nurse educator is teaching a group of students the definition of a mentally healthy
individual. The nurse educator knows that an individual is considered mentally healthy
when which of the following concepts give evidence to psychological, emotional, and
social health?
1. Behavior
2. Intrapersonal relationships
3. Gender
4. Age
5. Interpersonal relationships
Answer:
The nurse completing an assessment for an adolescent from a humanistic”interactionist
perspective will include which of the following assessments? Choose the best response.
1. Developmental and psychosocial
2. Spiritual only
3. Psychosocial and physiological
4. Physiological and spiritual
Answer:
Which of the following aspects of the structural environment pose the greatest risk to
client safety in the hospital setting?
1. Plastic clothes hangers in clients’ closets
2. Program schedules posted on bulletin boards behind glass doors
3. Potted plants in plastic containers in the day room
4. Breakaway shower rods in the clients’ bathrooms
Answer:
If the nurse is using the nursing theory that has shaped psychiatric”mental health most
directly, which nursing action is priority?
1. Assessing the client’s abilities in areas of self-care
2. Teaching effective coping skills
3. Establishing a therapeutic nurse”client relationship
4. Encouraging the client’s sensitivity and caring for self
Answer:
The nurse is planning care for an individual diagnosed with borderline personality
disorder. The nurse realizes that interventions will have to be focused on which of the
following behaviors?
1. Desiring order and perfection
2. Not being able to make decisions
3. Acting out when feeling abandoned or disrespected
4. Withdrawing and becoming isolative
Answer:
The nurse is assessing a client with nicotine addiction. The nurse knows the client plans
to compete in a marathon several months away and asks the client to imagine snapping
a cigarette in half and winning the marathon whenever the urge to smoke occurs. The
nurse knows that shaping one’s thoughts so that they have control over a particular
situation, thereby creating a successful behavior change, is called:
1. Communication.
2. Mastery imagery.
3. Image restructuring.
4. Positive imagery.
Answer:
A nurse has been working with a client who witnessed a traumatic event and is now
experiencing panic-level anxiety. The desired outcome is:
1. Stated improvement of self-esteem.
2. Absence of anxiety.
3. Hope for the future.
4. Anxiety is maintained at a manageable level.
Answer:
A member of the client’s family tells the nurse that they don”t understand the choice of
electroconvulsive therapy (ECT) for their mother’s depression. The family member
states they are worried about the damage her brain will incur from the grand mal
seizure. What will the nurse teach the family members about ECT?
1. Grand mal seizures are not life threatening.
2. They can withdraw consent at any time.
3. ECT is a safe and effective treatment option for depression.
4. The induced seizure lasts less than a minute.
Answer:
Establishing and maintaining the therapeutic nurse”client relationship differs according
to the client’s cultural background. The nurse is guided by knowledge of which of the
following?
1. A client’s religious beliefs may interfere with constructive change.
2. Alternative values should always be discussed with the client.
3. Clients who believe family problems should not be discussed with strangers should
not be coaxed into doing so.
4. Exploring religious beliefs with the client is not recommended.
Answer:
The nurse is researching statistics of the five psychiatric disorders that comprise the top
10 causes of disability worldwide. Given this information, the nurse chooses which of
the following as a priority screening for clients?
1. Bipolar disorder
2. Depression
3. Schizophrenia
4. Alcohol abuse
Answer: